Pediatric emergency care
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Pediatric emergency care · Aug 2017
Ketamine Abuse Syndrome: Hepatobiliary and Urinary Pathology Among Adolescents in Flushing, NY.
Ketamine is a recreational drug widely abused in East Asia and also in certain subpopulations of the United States. Many US clinicians are unaware of abuse symptoms, leading to misdiagnosis and missed opportunities for intervention. We will discuss clinical patterns that should alert a clinician to the possibility of ketamine abuse. ⋯ Ketamine abuse is associated with a distinctive pattern of symptoms involving the urinary and hepatobiliary systems.
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Pediatric emergency care · Aug 2017
Comparative Study Observational StudyComparative Performance of Pediatric Weight Estimation Techniques: A Human Factor Errors Analysis.
We compared performance characteristics of 7 weight estimation methods examining predictive performance and human factors errors. ⋯ Skill-based, perception, or judgment errors were observed in more than 1 of 20 cases. No singular strategy was used with 100% accuracy.
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Pediatric emergency care · Aug 2017
Link for Injured Kids: A Patient-Centered Program of Psychological First Aid After Trauma.
Injury, the most common type of pediatric trauma, can lead to a number of adverse psychosocial outcomes, including posttraumatic stress disorder. Currently, few evidence-based parent programs exist to support children hospitalized after a traumatic injury. Using methods in evaluation and intervention research, we completed a formative research study to develop a new program of psychological first aid, Link for Injured Kids, aimed to educate parents in supporting their children after a severe traumatic injury. ⋯ Results from this study strongly indicate a need for posttrauma interventions, particularly in rural settings, to support families of children to address the psychosocial outcomes in the aftermath of an injury. Findings presented here describe the process of intervention development that responds to the needs of an affected population.
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Pediatric emergency care · Aug 2017
Case ReportsAtaxia and Headache in a Child: A Case of Acute Cerebellar Infarction.
A 4-year-old female patient presents to the pediatric emergency department with acute onset of ataxia and occipital headache. Initial investigation, including computed tomography imaging, failed to demonstrate any focal neurologic lesion. ⋯ Further work up identified the likely causative factor to be a heterozygous mutation at the methylene tetrahydrofolate reductase gene. In this case report, we will discuss the work-up of pediatric ataxia, the evaluation and management of cerebrovascular accidents in children, and the association between stroke and mutation of the methylene tetrahydrofolate reductase gene.